Deter H C, Köpp W, Zipfel S, Herzog W
Abteilung für Psychosomatik und Psychotherapie, Universitätsklinikums Benjamin Franklin, Freien Universität Berlin.
Nervenarzt. 1998 May;69(5):419-26. doi: 10.1007/s001150050291.
Despite an increasing number of studies on the long-term course of anorexia nervosa, male patients only play a subordinate role in the majority of investigations. Thus, one section of a more comprehensive study aimed at describing possible differences in the disease course of male and female patients. Total assessment after a mean of 12 years revealed a clearly increased mortality rate of more than 20% in 10 of the male patients examined (as well as 2 male anorexia nervosa patients with an additional physical condition). The male survivors had a better prognosis than the females patients. Male anorectics were in better physical condition than their female counterparts at the time of follow-up. On the Morgan Russell scale, food intake, psychosexual and social state showed a more favorable development in male than in female patients. Male patients had a more favorable course regarding psychosocial integration but a similar course as female patients regarding eating disorder symptoms. The results are discussed theoretically and clinically. Further studies with a larger random selection of patients should be carried out.
尽管关于神经性厌食症长期病程的研究越来越多，但男性患者在大多数调查中仅占次要地位。因此，一项更全面研究的一部分旨在描述男性和女性患者病程中可能存在的差异。平均12年后的总体评估显示，在接受检查的10名男性患者（以及2名患有其他身体疾病的男性神经性厌食症患者）中，死亡率明显增加超过20%。男性幸存者的预后比女性患者更好。在随访时，男性厌食症患者的身体状况比女性患者更好。在摩根·拉塞尔量表上，男性患者在食物摄入、心理性和社会状态方面的发展比女性患者更有利。男性患者在心理社会整合方面病程更有利，但在饮食障碍症状方面与女性患者病程相似。从理论和临床角度对结果进行了讨论。应进行更多对患者进行更大规模随机抽样的研究。
